Bottomley Jamison S, Burke Laurie A, Neimeyer Robert A
1 University of Memphis, TN, USA.
Omega (Westport). 2017 May;75(1):3-25. doi: 10.1177/0030222815612282. Epub 2015 Oct 26.
Psychological adaptation following homicide loss can prove more challenging for grievers than other types of losses. Although social support can be beneficial in bereavement, research is mixed in terms of identifying whether it serves as a buffer to distress following traumatic loss. In particular, studies have not parsed out specific domains of social support that best predict positive bereavement outcomes. Recruiting a sample of 47 African Americans bereaved by homicide, we examined six types of social support along with the griever's perceived need for or satisfaction with each and analyzed them in relation to depression, anxiety, complicated grief, and posttraumatic stress disorder outcomes. Results of multivariate analyses revealed that the griever's level of satisfaction with physical assistance at the initial assessment best predicted lower levels of depression, anxiety, and posttraumatic stress disorder levels 6 months later, while less need for physical assistance predicted lower complicated grief at follow-up. Clinical implications and suggestions for future research are discussed.
对于丧亲者而言,因他人凶杀导致亲人离世后的心理调适可能比其他类型的丧失更具挑战性。尽管社会支持在丧亲期间可能有益,但在确定它是否能缓冲创伤性丧失后的痛苦方面,研究结果不一。特别是,研究尚未剖析出最能预测积极丧亲结果的社会支持的具体领域。我们招募了47名因他人凶杀而丧亲的非裔美国人样本,研究了六种社会支持类型以及丧亲者对每种支持的感知需求或满意度,并分析了它们与抑郁、焦虑、复杂性悲伤和创伤后应激障碍结果之间的关系。多变量分析结果显示,在初始评估时丧亲者对实际帮助的满意度水平最能预测6个月后较低的抑郁、焦虑和创伤后应激障碍水平,而对实际帮助需求较少则预示着随访时较低的复杂性悲伤水平。本文讨论了临床意义及对未来研究的建议。